33D2113966 CLIA NUMBER - BROCKPORT OPTOMETRY, PC

Laboratory Demographics

  • CLIA Code: 33D2113966
  • Facility Name: BROCKPORT OPTOMETRY, PC
  • Facility Address: 22 NORTH MAIN STREET - LOWER SUITE
    BROCKPORT, NY
    ZIP 14420
  • Facility Phone: 585 637-2121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL L. RAFF
  • NPI Number: 1912112889
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 33D2113966
LAB Type Physician Office
Facility Name BROCKPORT OPTOMETRY, PC
Street 22 NORTH MAIN STREET - LOWER SUITE
City BROCKPORT
State NY
ZIP 14420
Phone 585 637-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Physician Office
Lab Director DR. MICHAEL L. RAFF

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This page was last updated on: 9/29/2025